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Individual
JANICE CULLITON
Active
Individual
JANICE CULLITON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1049
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40352500
—
WV
01
—
6401846
MN MEDICA INDIVIDUAL
MN
01
—
73B48CU
BCBS MINNESOTA INDIVIDUAL
MN
Enumeration date
09/16/2006
Last updated
07/09/2007
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